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Who was Venerable Walpola Rahula?

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Ven. Walpola Rahula Thera

Venerable Walpola Rahula Thero’s 118th death anniversary fell on the 9th of May. On the 24th of May, a commemorative event is being organised by the Walpola Rahula Foundation Trust chaired by his only Monk pupil Venerable Galkande Dhammananda at the Sri Lanka Foundation Institute. It is timely and of significant relevance to today’s societal practices in the name of Buddha and Buddhism, to examine the life and times of Venerable Rahula and his philosophy and approach to Buddhism.

In Venerable Rahula’s seminal work, What the Buddha Taught, he says “The question has often been asked; Is Buddhism a religion or a philosophy? It does not matter what you call it. Buddhism remains what it is whatever label you may put on it. The label is immaterial. Even the label ‘Buddhism’ which we give to the teachings of the Buddha is of little importance. The name one gives is inessential. In the same way Truth needs no label: it is neither Buddhist, Christian, Hindu nor Moslem. It is not the monopoly of anybody. Sectarian labels are a hindrance to the independent understanding of Truth, and they produce harmful prejudices in men’s minds”

The above citation describes the philosophy that Venerable Walpola Rahula Thero embodied throughout his life. It was very much in line with the dictum Bahujana sukhaya bahujana hitaya or “for the happiness of the many, for the welfare of the many” and it was his guiding principle. His philosophy won him many friends and followers in Sri Lanka and internationally, and also some who disagreed with him. No doubt, if Buddha was alive today and graced the commemorative occasion, he would have readily agreed with Venerable Rahula.

In his book “The Heritage of the Bhikkhu” Ven Rahula gives a vivid account of a Buddhist monk’s role as a servant to people’s needs as a follower and teacher of the basic Buddhist principles. In this informative volume, Ven Rahula emphasizes Buddhism as a practical doctrine for daily living and spiritual perfection, not simply a monastic discipline

Over time, this truism that has been shaped into different forms by many actors within the Buddhist community, lay people as well as by Buddhist Monks. Buddhist culture has been distorted from being representative of the basic philosophy of what Buddha taught, to an institutionalised culture that has transformed the veneration and practice of the Dhamma to the veneration of institutional practices. The following statement by Venerable Rahula noted in the website of Tsemrinpoche.com perhaps underpins this transformation and why institutional Buddhism thrives (https://www.tsemrinpoche.com/tsem-tulku-rinpoche/buddhas-dharma/ven-dr-walpola-rahula-thero-the-theravadan-academic.html)

He says two ideas are psychologically deep rooted in man: self-protection and self-preservation, and for self-protection man has created God, on whom he depends for his own protection, safety and security, just as a child depends on its parents, and for self-preservation, conceived the idea of an immortal Soul or Atman, which will live eternally. In his ignorance, weakness, fear and desire, man needs these two things to console himself. Hence, he clings to them deeply and fanatically.

While there is no God or Atman in Buddhism, these two ideas psychologically deep rooted in man as mentioned by Ven Rahula, and fears arising from ignorance, weakness and desire, have very likely led to the solace for these promoted by institutional Buddhism as being adherence to cultural practices in the name of the Dhamma rather than the Dhamma itself and has perhaps functioned as the core foundation for the growth of the institutions.

Venerable Rahula’s philosophy was to practice and teach Dhamma rather than foster institutions that promoted cultural practices in the name of Buddhism, and he was a strong advocate of free thinking as the opening citation of this article clearly indicates. In this regard, the book ‘Sathyodaya’ written by Venerable Rahula epitomises his free thinking. Venerable Galkande Dhammananda in his introduction to ‘Sathyodaya’ says that free thinking is not an ability gained easily through habit. Proper direction and guidance is required to develop this skill.

Though the physical body can be easily trained to perform a task, he says that the same cannot be said about training the mind. He goes on to say that progressively cultivating human understanding and judgement through reasoning is a challenging task and that Venerable Rahula articulated how this may be done in many books he wrote, and his book ‘Sathyodaya’ or ‘Truth Awakening’ epitomised his approach to how Buddhists should practice Buddhism as Buddha taught (see ‘Sathyodaya’: Will the truth awaken in the New Year? https://www.ft.lk/columns/Sathyodaya-Will-the-truth-awaken-in-the-New-Year/4-676480). The fundamental wisdom that Ven Rahula promoted as Sathyodaya or “Truth Awakening” was the capacity of each person to be fully awakened, to become a Buddha in their own right, enlightened and wise. A key tool that can help people on the path is the notion of critical thinking, reasoning. Ven Rahula went onto say that “a person will not become a Buddhist by merely taking refuge in the triple gem through a verbal utterance. Nor will the person be a Buddhist by simply wearing a robe. A Buddhist is not defined by name or practice, but by conduct. In other words, if you are a good person, treat others with compassion and respect, and are wise and insightful in your actions, that is what makes you a “Buddhist”.

The following is a concise biography noted in the Walpola Rahula Institute website about Venerable Rahula (https://www.walpolarahula.institute/). This biography is a very good illustration of the philosophy of Venerable Walpola Rahula which he believed in and practiced throughout his life.

Venerable Professor Walpola Rahula was born on the 9th of May, 1907, in the village of Walpola, in southern Sri Lanka. In 1920, at the age of 13, he was ordained as a Buddhist monk. He received his initial monastic training under the Venerable Paragoda Sumanasara, a highly revered, erudite monk who strictly adhered to the monastic code of conduct. From this teacher Ven. Rahula received the complete training required for a monk, which included language skills and how to live a frugal life. He engaged in monastic practices such as meditation and pindapatha (‘begging for alms’). Other than the education by Ven. Sumanasara, until his admission to the University of London, Ven. Rahula did not seek nor receive any formal education.

In 1927, the 20-year-old Ven. Rahula was involved with the Colombo Dharmaduta Sabhava, a Buddhist missionary society. During this time, he worked with people oppressed by the caste system. He paid particular attention to teaching them the Dhamma, the Buddhist teaching while working towards their socio-economic upliftment. He and other program participants would regularly abstain from their meals and use the funds for the welfare of the underprivileged. During his sermons, Ven. Rahula regularly emphasised the importance of practising the Dhamma as originally taught by the Buddha and the importance of critical thinking and inquisitiveness. (These sermons were distributed as leaflets at the time. In 1992 they were published as a book under the title ‘Sathyodaya’). Ven Rahula’s critical approach gained him the respect and admiration of many lay and ordained Buddhists. However, it also attracted critics and opponents. Certain parties vehemently opposed his strong criticism of caste discrimination within the Buddhist clergy.

The next notable phase in Ven Rahula’s life was when he studied at the affiliated college of the University of London, in Colombo. In 1941 he graduated with an Honours Degree in Eastern Languages, becoming the first Buddhist monk from Sri Lanka to receive a university education. Even as a university student, he continued to help people in need of help. His service during the 1936 Malaria epidemic was recognised in the book “Buddhist Studies in Honor of Walpola Rahula” by E.F.C Ludvaik, a professor at the university at the time. Continuing research activities after his undergraduate degree, he earned a Doctorate from the University of Ceylon for his thesis “Some Aspects of the History of Buddhism in Ceylon”.

In the 1940s, when Sri Lanka was on the verge of gaining independence, Ven Rahula, along with other Buddhist monks like Ven. Yakkaduwe Sri Pannarama of the Vidyalankara Pirivena (An educational institute for Buddhist monks), Ven. Naththandiye Pannakara, Ven. Kotahene Pannakitti, Ven. Kalalelle Ananda Sagara took the position that the Buddhist monks had an active role in shaping the soon-to-be independent nation for the welfare of the masses. Ven. Rahula penned his seminal work ‘Bhikshuwage Urumaya‘ (The Heritage of the Buddhist Monk) to argue for the role of monks in ensuring the betterment of the masses.

For over three years, the discussion of the Free Education Act was stalled. Progressives such as Ven. Rahula and other Buddhist monks of the Vidyalankara Pirivena campaigned for its discussion and enactment in the State Council of Ceylon.

Through articles published in the ‘Kalaya’ (Time) newspaper and public awareness campaigns organised around the county by the ‘Eksath Bhikkhu Sangamaya’ (United Buddhist Monks’ Association), sufficient political pressure was generated for this Act to be discussed in the State Council and subsequently passed in 1947. Ven. Rahula and other monks of Vidyalankara Pirivena played a pivotal role in enabling free education in Sri Lanka, which has benefitted multiple generations and lifted the socio-economic situation of many.

In 1950, Ven. Rahula joined the Sorbonne University, Paris, as a Post Graduate Research Fellow under renowned Professor Paul Demiéville (1894-1979), where he carried out an annotated translation of 4th century Mahayana Bhikkhu Asanga’s ‘Abhidharma-Samuccaya’ to French. This was Ven. Rahula’s scholastic Magnus opus. It was also during this time Ven. Rahula wrote the book ‘What the Buddha Taught’, which would become the most widely read book on Buddhism in the Western world. During his time in France, Ven. Rahula acted as an ambassador of Buddhism, laying the foundation for Buddhist education in Europe.

Due to his fame and reputation as a scholar of Buddhism, in 1965, Ven. Rahula was invited to be the Professor of Religious History and Literature by the Northwestern University in the USA. While teaching at the Northwestern University, he also worked on streamlining the Buddhist study programs at other American Universities.

In 1966, the Sri Lankan Government invited Ven. Rahula to take up the position of Vice Chancellor of the Vidyodaya University (now University of Sri Jayawardanapura). As Vice-Chancellor, he worked purposefully to uplift the standards and prestige of the institution both nationally and internationally. University lecturers were sent to receive training overseas, and distinguished professors from foreign universities were invited to join the university. In 1969 he resigned from his post prematurely in protest of the political interferences to the university’s autonomy and returned to the USA. Back in the USA, he held professorships in several universities and was an advisor to postgraduate students at Oxford University, UK.

In the early 1980s, Ven. Rahula returned to Sri Lanka and was instrumental in establishing the “Buddhist and Pali University of Sri Lanka” to enhance the education of Buddhist monks. In addition, Ven. Rahula founded the “Buddhist Study and Research Institute”, later renamed the “Walpola Rahula Institute” at Kotte. In 1980 a group of celebrated intellectuals honoured Ven. Rahula by compiling a book named “Buddhist Studies in Honour of Walpola Rahula”. The book was printed in London by the Gordon Fraser company. While Ven. Rahula was honoured by many prestigious universities around the world, he continued to be the Chancellor of the University of Kelaniya until his demise in 1997. Ven. Rahula passed away on the 18th of September 1997, having lived for 90 years. According to his will, his remains were cremated within 24 hours at the Borella crematorium following traditional Buddhist funeral rites, without pomp, pageantry, or speeches.

Walpola Rahula Thero wrote extensively about Theravada Buddhism. Apart from his world-renowned book What the Buddha Taught, he published an enormous number of papers on Buddhism. Notable books written by him include History of Buddhism in Ceylon, Heritage of the Bhikkhu, Zen and the Taming of the Bull and Le Compendium de la Super Doctrine (French). A complete list of his writings, in Sinhala, English and French are noted in the Walpola Rahula Institute’s website.

World Buddhist Sangha Council

In conclusion, Venerable Walpola Rahula’s contribution to the World Buddhist Sangha Council is noted here as one of his major achievements. The founder Secretary-General of the World Buddhist Sangha Council, Venerable Pandita Pimbure Sorata Thera had requested Venerable Rahula to present a concise statement to the first Congress of the Council in 1967 that would unify all of the different Buddhist traditions. It was through his knowledge of the Mahayana acquired while he was studying at the Sorbonne that Venerable Rahula was able to produce the important Buddhist Ecumenical statement called The Basic Points Unifying the Theravada and the Mahayana, (https://www.tsemrinpoche.com/tsem-tulku-rinpoche/buddhas-dharma/ven-dr-walpola-rahula-thero-the-theravadan-academic.html) which was unanimously approved by the Council. The ten points were

1. Whatever our sects, denominations or systems, as Buddhists we all accept the Buddha as our Master who gave us the Teaching.

2. We all take refuge in the Triple Jewel: the Buddha, our Teacher; the Dhamma, his teaching; and the Sangha, the Community of holy ones. In other words, we take refuge in the Teacher, the Teaching and the Taught.

3. Whether Theravada or Mahayana, we do not believe that this world is created and ruled by a god at his will.

4. Following the example of the Buddha, our Teacher, who is the embodiment of Great Compassion (mahakaruna) and Great Wisdom (mahaprajna), we consider that the purpose of life is to develop compassion for all living beings without discrimination and to work for their good, happiness and peace; and to develop wisdom leading to the realisation of Ultimate Truth.

5. We accept the Four Noble Truths taught by the Buddha, namely, Dukkha, the fact that our existence in this world is in predicament, is impermanent, imperfect, unsatisfactory, full of conflict; Samudaya, the fact that this state of affairs is due to our egoistic selfishness based on the false idea of self; Nirodha, the fact that there is definitely the possibility of deliverance, liberation, freedom from this predicament by the total eradication of the egoistic selfishness; and Magga, the fact that this liberation can be achieved through the Middle Path which is eight-fold, leading to the perfection of ethical conduct (sila), mental discipline (samadhi) and wisdom (panna).

6. We accept the universal law of cause and effect taught in the Paticcasamuppada (Skt. pratityasamutpada; Conditioned Genesis or Dependent Origination), and accordingly we accept that everything is relative, interdependent and interrelated and nothing is absolute, permanent and everlasting in this universe.

7. We understand, according to the teaching of the Buddha, that all conditioned things (samkhara) are impermanent (anicca) and imperfect and unsatisfactory (dukkha), and all conditioned and unconditioned things (dhamma) are without self (anatta).

8. We accept the Thirty-Seven Qualities conducive to Enlightenment (bodhipakkhiyadhamma) as different aspects of the Path taught by the Buddha leading to Enlightenment, namely:

= Four Forms of Presence of Mindfulness (Pali: satipatthana; Skt. smrtyupasthana);

= Four Right Efforts (Pali. sammappadhana; Skt. samyakpradhana);

= Four Bases of Supernatural Powers (Pali. iddhipada; Skt. rddhipada);

= Five Faculties (indriya: Pali. saddha, viriya, sati, samadhi, panna; Skt. sraddha, virya, smrti, samadhi, prajna);

= Five Powers (bala, same five qualities as above);

= Seven Factors of Enlightenment (Pali. bojjhanga; Skt. bodhyanga);

= Eight-Fold Noble Path (Pali. ariyamagga; Skt. aryamarga).

9. There are three ways of attaining Bodhi or Enlightenment according to the ability and capacity of each individual: namely, as a Sravaka (disciple), as a Pratyekabuddha (Individual Buddha) and as a Samyaksambuddha (Perfectly and Fully Enlightened Buddha). We accept it as the highest, noblest and most heroic to follow the career of a Bodhisattva and to become a Samyksambuddha in order to save others. But these three states are on the same Path, not on different paths. In fact, the Sandhinirmocana-sutra, a well-known important Mahayana sutra, clearly and emphatically says that those who follow the line of Sravakayana (Vehicle of Disciples) or the line of Pratyekabuddhayana (Vehicle of Individual Buddhas) or the line of Tathagatas (Mahayana) attain the supreme Nirvana by the same Path, and that for all of them there is only one Path of Purification (visuddhi-marga) and only one Purification (visuddhi) and no second one, and that they are not different paths and different purifications, and that Sravakayana and Mahayana constitute One Vehicle One Yana (ekayana) and not distinct and different vehicles or yanas.

10. We admit that in different countries there are differences with regard to the ways of life of Buddhist monks, popular Buddhist beliefs and practices, rites and rituals, ceremonies, customs and habits. These external forms and expressions should not be confused with the essential teachings of the Buddha.

In many aspects, Venerable Walpola Rahula was one of a kind. His simplicity, being a practitioner and not just a preacher, his scholarly knowledge of the Dhamma, his ability to have disseminated this knowledge to vast audiences locally and overseas, his adherence to Buddha’s message of service to others for the happiness of the many, and for the welfare of the many, and his steadfast belief and active promotion of mans right to free thinking.

In summing up who Venerable Walpola Rahula was, perhaps the words of Venerable Galkande Dhammananda would describe his lifelong dedication to the one key quality that functioned as one of his core value, freedom to think. “Proper direction and guidance is required to develop this skill. Though the physical body can be easily trained to perform a task, the same cannot be said about training the mind. Progressively cultivating human understanding and judgement through reasoning is a challenging task and Venerable Rahula articulated how this may be done in his teachings and in the many books he wrote“.

By Raj Gonsalkorale



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Who Owns the Clock? The Quiet Politics of Time in Sri Lanka

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(This is the 100th column of the Out of the Box series, which began on 6 September, 2023, at the invitation of this newspaper – Ed.)

A new year is an appropriate moment to pause, not for celebration, but to interrogate what our politics, policies, and public institutions have chosen to remember, forget, and repeat. We celebrate the dawn of another brand-new year. But whose calendar defines this moment?

We hang calendars on our walls and carry them in our phones, trusting them to keep our lives in order, meetings, exams, weddings, tax deadlines, pilgrimages. Yet calendars are anything but neutral. They are among humanity’s oldest instruments of power: tools that turn celestial rhythms into social rules and convert culture into governance. In Sri Lanka, where multiple traditions of time coexist, the calendar is not just a convenience, it is a contested terrain of identity, authority, and fairness.

Time is never just time

Every calendar expresses a political philosophy. Solar systems prioritise agricultural predictability and administrative stability; lunar systems preserve religious ritual even when seasons drift; lunisolar systems stitch both together, with intercalary months added to keep festivals in season while respecting the moon’s phases. Ancient India and China perfected this balancing act, proving that precision and meaning can coexist. Sri Lanka’s own rhythms, Vesak and Poson, Avurudu in April, Ramadan, Deepavali, sit inside this wider tradition.

What looks “technical” is actually social. A calendar decides when courts sit, when budgets reset, when harvests are planned, when children sit exams, when debts are due, and when communities celebrate. It says who gets to define “normal time,” and whose rhythms must adapt.

The colonial clock still ticks

Like many postcolonial societies, Sri Lanka inherited the Gregorian calendar as the default language of administration. January 1 is our “New Year” for financial statements, annual reports, contracts, fiscal plans, school terms, and parliamentary sittings, an imported date shaped by European liturgical cycles and temperate seasons rather than our monsoons or zodiac transitions. The lived heartbeat of the island, however, is Avurudu: tied to the sun’s movement into Mesha Rāshi, agricultural renewal, and shared rituals of restraint and generosity. The result is a quiet tension: the calendar of governance versus the calendar of lived culture.

This is not mere inconvenience; it is a subtle form of epistemic dominance. The administrative clock frames Gregorian time as “real,” while Sinhala, Tamil, and Islamic calendars are relegated to “cultural” exceptions. That framing shapes everything, from office leave norms to the pace at which development programmes expect communities to “comply”.

When calendars enforce authority

History reminds us that calendar reforms are rarely innocent. Julius Caesar’s reshaping of Rome’s calendar consolidated imperial power. Pope Gregory XIII’s reform aligned Christian ritual with solar accuracy while entrenching ecclesiastical authority. When Britain finally adopted the Gregorian system in 1752, the change erased 11 days and was imposed across its empire; colonial assemblies had little or no say. In that moment, time itself became a technology for governing distant subjects.

Sri Lanka knows this logic. The administrative layers built under colonial rule taught us to treat Gregorian dates as “official” and indigenous rhythms as “traditional.” Our contemporary fiscal deadlines, debt restructurings, even election cycles, now march to that imported drumbeat, often without asking how this timing sits with the island’s ecological and cultural cycles.

Development, deadlines and temporal violence

Modern governance is obsessed with deadlines: quarters, annual budgets, five-year plans, review missions. The assumption is that time is linear, uniform, and compressible. But a farmer in Anuradhapura and a rideshare driver in Colombo do not live in the same temporal reality. Monsoons, harvests, pilgrimage seasons, fasting cycles, school term transitions, these shape when people can comply with policy, pay taxes, attend trainings, or repay loans. When programmes ignore these rhythms, failure is framed as “noncompliance,” when in fact the calendar itself has misread society. This mismatch is a form of temporal violence: harm produced not by bad intentions, but by insensitive timing.

Consider microcredit repayment windows that peak during lean agricultural months, or school examinations scheduled without regard to Avurudu obligations. Disaster relief often runs on the donor’s quarterly clock rather than the community’s recovery pace. In each case, governance time disciplines lived time, and the least powerful bend the most.

Religious time vs administrative time

Sri Lanka’s plural religious landscape intensifies the calendar question. Buddhism, Hinduism, Islam, and Christianity relate to time differently: lunar cycles, solar markers, sacred anniversaries. The state acknowledges these mainly as public holidays, rather than integrating their deeper temporal logic into planning. Vesak is a day off, not a rhythm of reflection and restraint; Ramadan is accommodated as schedule disruption, not as a month that reorganises energy, sleep, and work patterns; Avurudu is celebrated culturally but remains administratively marginal. The hidden assumption is that “real work” happens on the Gregorian clock; culture is decorative. That assumption deserves challenge.

The wisdom in complexity

Precolonial South and East Asian calendars were not confused compromises. They were sophisticated integrations of astronomy, agriculture, and ritual life, adding intercalary months precisely to keep festivals aligned with the seasons, and using lunar mansions (nakshatra) to mark auspicious thresholds. This plural logic admits that societies live on multiple cycles at once. Administrative convenience won with the Gregorian system, but at a cost: months that no longer relate to the moon (even though “month” comes from “moon”), and a yearstart with no intrinsic astronomical significance for our context.

Towards temporal pluralism

The solution is not to abandon the Gregorian calendar. Global coordination, trade, aviation, science, requires shared reference points. But ‘shared’ does not mean uncritical. Sri Lanka can lead by modelling temporal pluralism: a policy posture that recognises different ways of organising time as legitimate, and integrates them thoughtfully into governance.

Why timing is justice

In an age of economic adjustment and climate volatility, time becomes a question of justice: Whose rhythms does the state respect? Whose deadlines dominate? Whose festivals shape planning, and whose are treated as interruptions? The more governance assumes a single, imported tempo, the wider the gap between the citizens and the state. Conversely, when policy listens to local calendars, legitimacy grows, as does efficacy. People comply more when the schedule makes sense in their lives.

Reclaiming time without romanticism

This is not nostalgia. It is a pragmatic recognition that societies live on multiple cycles: ecological, economic, ritual, familial. Good policy stitches these cycles into a workable fabric. Poor policy flattens them into a grid and then blames citizens for falling through the squares.

Sri Lanka’s temporal landscape, Avurudu’s thresholds, lunar fasts, monsoon pulses, exam seasons, budget cycles, is rich, not chaotic. The task before us is translation: making administrative time converse respectfully with cultural time. We don’t need to slow down; we need to sync differently.

The last word

When British subjects woke to find 11 days erased in 1752, they learned that time could be rearranged by distant power. Our lesson, centuries later, is the opposite: time can be rearranged by near power, by a state that chooses to listen.

Calendars shape memory, expectation, discipline, and hope. If Sri Lanka can reimagine the governance of time, without abandoning global coordination, we might recover something profound: a calendar that measures not just hours but meaning. That would be a reform worthy of our island’s wisdom.

(The writer, a senior Chartered Accountant and professional banker, is Professor at SLIIT, Malabe. The views and opinions expressed in this article are personal.)

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Medicinal drugs for Sri Lanka:The science of safety beyond rhetoric

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The recent wave of pharmaceutical tragedies in Sri Lanka, as well as some others that have occurred regularly in the past, has exposed a terrifying reality: our medicine cabinets have become a frontline of risk and potential danger. In recent months, the silent sanctuary of Sri Lanka’s healthcare system has been shattered by a series of tragic, preventable deaths. The common denominator in these tragedies has been a failure in the most basic promise of medicine: that it will heal, not harm. This issue is entirely contrary to the immortal writings of the Father of Medicine, Hippocrates of the island of Kos, who wrote, “Primum non nocere,” which translates classically from Latin as “First do no harm.” The question of the safety of medicinal drugs is, at present, a real dilemma for those of us who, by virtue of our vocation, need to use them to help our patients.

For a nation that imports the vast majority of its medicinal drugs, largely from regional hubs like India, Pakistan, and Bangladesh, the promise of healing is only as strong as the laboratory that verifies these very same medicinal drugs. To prevent further problems, and even loss of lives, we must demand a world-class laboratory infrastructure that operates on science, not just sentiment. We desperately need a total overhaul of our pharmaceutical quality assurance architecture.

The detailed anatomy of a national drug testing facility is not merely a government office. It is a high-precision fortress. To meet international standards like ISO/IEC 17025 and World Health Organisation (WHO) Good Practices for Pharmaceutical Quality Control Laboratories, such a high-quality laboratory must be zoned into specialised units, each designed to catch a different type of failure.

*  The Physicochemical Unit: This is where the chemical identity of a drug is confirmed. Using High-Performance Liquid Chromatography (HPLC) and Gas Chromatography-Mass Spectrometry (GC-MS), scientists determine if a “500mg” tablet actually contains 500mg of the active ingredient or if it is filled with useless chalk.

*  The Microbiology Suite: This is the most critical area for preventing “injection deaths.” It requires an ISO Class 5 Cleanroom: sterile environments where air is filtered to remove every microscopic particle. Here, technicians perform Sterility Testing to ensure no bacteria or fungi are present in medicines that have to be injected.

*  The Instrumentation Wing: Modern testing requires Atomic Absorption Spectrometers to detect heavy metal contaminants (like lead or arsenic) and Stability Chambers to see how drugs react to Sri Lanka’s high humidity.

*  The injectable drug contamination is a serious challenge. The most recent fatalities in our hospitals were linked to Intravenous (IV) preparations. When a drug is injected directly into the bloodstream, there is no margin for error. A proper national laboratory must conduct two non-negotiable tests:

*  Bacterial Endotoxin Testing (BET): Even if a drug is “sterile” (all bacteria are dead), the dead bacteria leave behind toxic cell wall products called endotoxins. If injected, these residual compounds cause “Pyrogenic Reactions” with violent fevers, organ failure, and death. A functional lab must use the Limulus Amoebocyte Lysate (LAL) test to detect these toxins at the parts-per-billion level.

*  Particulate Matter Analysis: Using laser obscuration, labs must verify that no microscopic shards of glass or plastic are floating in the vials. These can cause fatal blood clots or embolisms in the lungs.

It is absolutely vital to assess whether the medicine is available in the preparation in the prescribed amounts and whether it is active and is likely to work. This is Bioavailability. Sri Lanka’s heavy reliance on “generic” imports raises a critical question: Is the cheaper version from abroad as effective as the original, more expensive branded formulation? This is determined by Bioavailability (BA) and Bioequivalence (BE) studies.

A drug might have the right chemical formula, but if it does not dissolve properly in the stomach or reach the blood at the right speed, it is therapeutically useless. Bioavailability measures the rate and extent to which the active ingredient is absorbed into the bloodstream. If a cheaper generic drug is not “bioequivalent” to the original brand-named version, the patient is essentially taking a useless placebo. For patients with heart disease or epilepsy, even a 10% difference in bioavailability can lead to treatment failure. A proper national system must include a facility to conduct these studies, ensuring that every generic drug imported is a true “therapeutic equivalent” to the brand-named original.

As far as testing goes, the current testing philosophy is best described as Reactive, rather than Proactive. The current Sri Lankan system is “reactive”: we test a drug only after a patient has already suffered. This is a proven recipe for disaster. To protect the public, we must shift to a Proactive Surveillance Model of testing ALL drugs at many stages of their dispensing.

*  Pre-Marketing Approval: No drug should reach a hospital shelf without “Batch Release” testing. Currently, we often accept the manufacturer’s own certificate of analysis, which is essentially like allowing students to grade their own examination answers.

*  Random Post-Marketing Surveillance (PMS): Regulatory inspectors must have the power to walk into any rural pharmacy or state hospital, pick a box of medicine at random, and send it to the lab. This could even catch “substandard” drugs that may have degraded during shipping or storage in our tropical heat. PMS is the Final Safety Net. Even the best laboratories cannot catch every defect. Post-Marketing Surveillance is the ongoing monitoring of a drug’s safety after it has been released to the public. It clearly is the Gold Standard.

*  Pharmacovigilance: A robust digital system where every “Adverse Drug Reaction” (ADR) is logged in a national database.

*  Signal Detection: An example of this is if three hospitals in different provinces report a slight rash from the same batch of an antibiotic, the system should automatically “flag” that batch for immediate recall before a more severe, unfortunate event takes place.

*  Testing for Contaminants: Beyond the active ingredients, we must test for excipient purity. In some global cases, cheaper “glycerin” used in syrups was contaminated with diethylene glycol, a deadly poison. A modern lab must have the technology to screen for these hidden killers.

When one considers the Human Element, Competence and Integrity, the very best equipment in the world is useless without the human capital to run it. A national lab would need the following:

*  Highly Trained Pharmacologists and Microbiologists and all grades of staff who are compensated well enough to be immune to the “lobbying” of powerful external agencies.

*  Digital Transparency: A database accessible to the public, where any citizen can enter a batch number from their medicine box and see the lab results.

Once a proper system is put in place, we need to assess as to how our facilities measure up against the WHO’s “Model Quality Assurance System.” That will ensure maintenance of internationally recognised standards. The confirmed unfavourable results of any testing procedure, if any, should lead to a very prompt “Blacklist” Initiative, which can be used to legally bar failing manufacturers from future tenders. Such an endeavour would help to keep all drug manufacturers and importers on their toes at all times.

This author believes that this article is based on the premise that the cost of silence by the medical profession would be catastrophic. Quality assurance of medicinal compounds is not an “extra” cost. It is a fundamental right of every Sri Lankan citizen, which is not at all subject to any kind of negotiation. Until our testing facilities match the sophistication of the manufacturers we buy from, we are not just importing medicine; we are importing potential risk.

The promises made by the powers-that-be to “update” the testing laboratories will remain as a rather familiar, unreliable, political theatre until we see a committed budget for mass spectrometry, cleanroom certifications, highly trained and committed staff and a fleet of independent inspectors. Quality control of therapeutic medicines is not a luxury; it is the price to be paid for a portal of entry into a civilised and intensively safe healthcare system. Every time we delay the construction of a comprehensive, proactive testing infrastructure, we are playing a game of Russian Roulette with the lives of our people.

The science is available, and the necessary technology exists. What is missing is the political will to put patient safety as the premier deciding criterion. The time for hollow rhetoric has passed, and the time for a scientifically fortified, transparent, and proactive regulatory mechanism is right now. The good health of all Sri Lankans, as well as even their lives, depend on it.

Dr B. J. C. Perera  

MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paediatrics), MRCP(UK), FRCP(Edin), FRCP(Lond), FRCPCH(UK), FSLCPaed, FCCP, Hony. FRCPCH(UK), Hony. FCGP(SL) 

Specialist Consultant Paediatrician and Honorary Senior Fellow, Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.

Joint Editor, Sri Lanka Journal of Child Health

Section Editor, Ceylon Medical Journal

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Features

Rebuilding Sri Lanka Through Inclusive Governance

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Management Committee of the 'Rebuilding Sri Lanka' Fund Appointed with Representatives from the Public and Private Sectors - PMD

In the immediate aftermath of Cyclone Ditwah, the government has moved swiftly to establish a Presidential Task Force for Rebuilding Sri Lanka with a core committee to assess requirements, set priorities, allocate resources and raise and disburse funds. Public reaction, however, has focused on the committee’s problematic composition. All eleven committee members are men, and all non-government seats are held by business personalities with no known expertise in complex national development projects, disaster management and addressing the needs of vulnerable populations. They belong to the top echelon of Sri Lanka’s private sector which has been making extraordinary profits. The government has been urged by civil society groups to reconsider the role and purpose of this task force and reconstitute it to be more representative of the country and its multiple  needs.

 The group of high-powered businessmen initially appointed might greatly help mobilise funds from corporates and international donors, but this group may be ill equipped to determine priorities and oversee disbursement and spending. It would be necessary to separate fundraising, fund oversight and spending prioritisation, given the different capabilities and considerations required for each. International experience in post disaster recovery shows that inclusive and representative structures are more likely to produce outcomes that are equitable, efficient and publicly accepted. Civil society, for instance, brings knowledge rooted in communities, experience in working with vulnerable groups and a capacity to question assumptions that may otherwise go unchallenged.

 A positive and important development is that the government has been responsive to these criticisms and has invited at least one civil society representative to join the Rebuilding Sri Lanka committee. This decision deserves to be taken seriously and responded to positively by civil society which needs to call for more representation rather than a single representative.  Such a demand would reflect an understanding that rebuilding after a national disaster cannot be undertaken by the state and the business community alone. The inclusion of civil society will strengthen transparency and public confidence, particularly at a moment when trust in institutions remains fragile. While one appointment does not in itself ensure inclusive governance, it opens the door to a more participatory approach that needs to be expanded and institutionalised.

Costly Exclusions

 Going  down the road of history, the absence of inclusion in government policymaking has cost the country dearly. The exclusion of others, not of one’s own community or political party, started at the very dawn of Independence in 1948. The Father of the Nation, D S Senanayake, led his government to exclude the Malaiyaha Tamil community by depriving them of their citizenship rights. Eight years later, in 1956, the Oxford educated S W R D Bandaranaike effectively excluded the Tamil speaking people from the government by making Sinhala the sole official language. These early decisions normalised exclusion as a tool of governance rather than accommodation and paved the way for seven decades of political conflict and three decades of internal war.

Exclusion has also taken place virulently on a political party basis. Both of Sri Lanka’s post Independence constitutions were decided on by the government alone. The opposition political parties voted against the new constitutions of 1972 and 1977 because they had been excluded from participating in their design. The proposals they had made were not accepted. The basic law of the country was never forged by consensus. This legacy continues to shape adversarial politics and institutional fragility. The exclusion of other communities and political parties from decision making has led to frequent reversals of government policy. Whether in education or economic regulation or foreign policy, what one government has done the successor government has undone.

 Sri Lanka’s poor performance in securing the foreign investment necessary for rapid economic growth can be attributed to this factor in the main. Policy instability is not simply an economic problem but a political one rooted in narrow ownership of power. In 2022, when the people went on to the streets to protest against the government and caused it to fall, they demanded system change in which their primary focus was corruption, which had reached very high levels both literally and figuratively. The focus on corruption, as being done by the government at present, has two beneficial impacts for the government. The first is that it ensures that a minimum of resources will be wasted so that the maximum may be used for the people’s welfare.

Second Benefit

 The second benefit is that by focusing on the crime of corruption, the government can disable many leaders in the opposition. The more opposition leaders who are behind bars on charges of corruption, the less competition the government faces. Yet these gains do not substitute for the deeper requirement of inclusive governance. The present government seems to have identified corruption as the problem it will emphasise. However, reducing or eliminating corruption by itself is not going to lead to rapid economic development. Corruption is not the sole reason for the absence of economic growth. The most important factor in rapid economic growth is to have government policies that are not reversed every time a new government comes to power.

 For Sri Lanka to make the transition to self-sustaining and rapid economic development, it is necessary that the economic policies followed today are not reversed tomorrow. The best way to ensure continuity of policy is to be inclusive in governance. Instead of excluding those in the opposition, the mainstream opposition in particular needs to be included. In terms of system change, the government has scored high with regard to corruption. There is a general feeling that corruption in the country is much reduced compared to the past. However, with regard to inclusion the government needs to demonstrate more commitment. This was evident in the initial choice of cabinet ministers, who were nearly all men from the majority ethnic community. Important committees it formed, including the Presidential Task Force for a Clean Sri Lanka and the Rebuilding Sri Lanka Task Force, also failed at first to reflect the diversity of the country.

 In a multi ethnic and multi religious society like Sri Lanka, inclusivity is not merely symbolic. It is essential for addressing diverse perspectives and fostering mutual understanding. It is important to have members of the Tamil, Muslim and other minority communities, and women who are 52 percent of the population, appointed to important decision making bodies, especially those tasked with national recovery. Without such representation, the risk is that the very communities most affected by the crisis will remain unheard, and old grievances will be reproduced in new forms. The invitation extended to civil society to participate in the Rebuilding Sri Lanka Task Force is an important beginning. Whether it becomes a turning point will depend on whether the government chooses to make inclusion a principle of governance rather than treat it as a show of concession made under pressure.

by Jehan Perera

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